Lyness Scott A, Hernandez Isis, Chui Helena C, Teng Evelyn L
Department of Neurology, Keck School of Medicine, University of Southern California, CA, USA.
Arch Clin Neuropsychol. 2006 Dec;21(8):827-36. doi: 10.1016/j.acn.2006.09.003. Epub 2006 Oct 31.
This paper examined whether education-, age-, and gender-matched Spanish- and English-speaking normals (n=30 pairs) had comparable scores on the Mattis dementia rating scale (MDRS). It provides preliminary normative data on Spanish-speaking volunteers aged 55-89 years old (n=54). It also compared the MDRS total score with its memory subscale score and the mini-mental state examination (MMSE) score on sensitivity and specificity for distinguishing normals from patients with dementia (n=61). Spanish-speaking normals scored significantly lower than English-speaking normals on MDRS total and its attention, conceptualization, and memory subscales. The area under the receiver operating characteristic curve distinguishing normals from patients with dementia was not significantly different among the MDRS total, its memory subscale, and the MMSE. We conclude that (a) the norms based on English-speaking individuals are not appropriate for use with Spanish-speaking individuals, and (b) to screen for dementia, the shorter MDRS Memory subscale and the MMSE are as good as the entire MDRS.
本文研究了在教育程度、年龄和性别相匹配的讲西班牙语和讲英语的正常人群（n = 30对）在马蒂斯痴呆评定量表（MDRS）上的得分是否相当。它提供了关于55 - 89岁讲西班牙语志愿者（n = 54）的初步常模数据。它还比较了MDRS总分与其记忆子量表得分以及简易精神状态检查表（MMSE）得分在区分正常人与痴呆患者（n = 61）时的敏感性和特异性。讲西班牙语的正常人群在MDRS总分及其注意力、概念形成和记忆子量表上的得分显著低于讲英语的正常人群。在区分正常人与痴呆患者时，MDRS总分、其记忆子量表和MMSE的受试者操作特征曲线下面积没有显著差异。我们得出结论：（a）基于讲英语个体的常模不适用于讲西班牙语的个体，（b）为筛查痴呆，较短的MDRS记忆子量表和MMSE与整个MDRS一样有效。
